Individual provider · Type 1 NPI
Antrionna Cavanaugh
Mental Illness Intermediate Care Facility · Toledo, OH
NPI number
1053029660
Active
Practice location
1800 N Mccord Rd Apt 45
Toledo, OH 43615-3091
Mailing address
PO Box 350415
Toledo, OH 43635-0415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | None listed |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Another provider at this address
About NPI 1053029660
Antrionna Cavanaugh's National Provider Identifier is 1053029660, issued on Nov 11, 2022. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Toledo, OH. The record was last updated on Nov 11, 2022.